Tuncel Altug, Erkan Anil, Sofikerim Mustafa, Arslan Murat, Kordan Yakup, Akin Yigit, Aslan Yilmaz
Third Department of Urology, Ministry of Health, Ankara Numune Research and Training Hospital, Ankara.
Arch Ital Urol Androl. 2016 Dec 30;88(4):255-257. doi: 10.4081/aiua.2016.4.255.
In the current study, we present our pure laparoscopic heminephrectomy experience in 13 patients with horseshoe kidney (HK).
A total of 13 patients with HK underwent pure laparoscopic heminephrectomy (Transperitoneal= 7, Retroperitoneal = 6) due to benign and malign renal conditions (non-functional hydronephrotic and/or infected kidney = 12, kidney mass = 1).
The mean age of the patients was 45.8 years. The mean operating time was 140 minutes, and estimated blood loss was 131 ml. The mean hospital stay was 2.3 days. Division of istmus was performed with stapler in 5 patients, ultrasonic scalpel in 3, 15 mm Hem-o-lok clip in 3, 10 mm LigaSure vessel seal system in one and endoscopic suture by 0 polyglactin in one patient without bleeding. Twelve patients underwent pure laparoscopic heminephrectomy due to nonfunctional hydronephrotic and or infected kidney. One patient underwent transperitoneal laparoscopic right heminephrectomy due to kidney mass. According to modifies Clavien classification, Grade I complication (wound infection) occurred in one patient (7.7%) who underwent heminephrectomy due to non-functional kidney.
Laparoscopic heminephrectomy seems to be technically feasible and safe for benign and malignant diseases in patients with HK.
在本研究中，我们介绍了13例马蹄肾（HK）患者行单纯腹腔镜半肾切除术的经验。
13例HK患者因良性和恶性肾脏疾病（无功能肾积水和/或感染性肾脏 = 12例，肾肿物 = 1例）接受了单纯腹腔镜半肾切除术（经腹 = 7例，腹膜后 = 6例）。
患者的平均年龄为45.8岁。平均手术时间为140分钟，估计失血量为131毫升。平均住院时间为2.3天。5例患者用吻合器离断峡部，3例用超声刀，3例用15毫米Hem-o-lok夹，1例用10毫米LigaSure血管闭合系统，1例患者用0号聚乙醇酸内镜缝合，均无出血。12例患者因无功能肾积水和/或感染性肾脏接受了单纯腹腔镜半肾切除术。1例患者因肾肿物接受了经腹腹腔镜右半肾切除术。根据改良Clavien分类，1例因无功能肾脏接受半肾切除术的患者发生了I级并发症（伤口感染）（7.7%）。
对于HK患者的良性和恶性疾病，腹腔镜半肾切除术在技术上似乎是可行和安全的。
